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"The Up and Down Approach" to Localize and Exclude Sites of Intraspinal CSF Leaks.

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Myelography is a commonly performed procedure to locate cerebrospinal fluid (CSF) leaks in patients with spontaneous intracranial hypotension. Often, the site of leak within the spinal canal cannot be located… Click to show full abstract

Myelography is a commonly performed procedure to locate cerebrospinal fluid (CSF) leaks in patients with spontaneous intracranial hypotension. Often, the site of leak within the spinal canal cannot be located creating a diagnostic dilemma for clinicians. This technical report describes a novel method to locate and exclude intraspinal CSF leaks in patients with multiple potential sites of CSF leak using a lumbar and cervical approach to inject intrathecal contrast and subsequently performing CT myelography.

Keywords: approach localize; csf; exclude sites; localize exclude; intraspinal csf; csf leaks

Journal Title: Current problems in diagnostic radiology
Year Published: 2022

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